For the purposes of this subchapter the following definitions shall apply unless the context clearly indicates or requires a different meaning. Any term in this subchapter not defined below shall take on its common or dictionary meaning.
ADVANCED LIFE SUPPORT (“ALS”).
(1) Care that is given by a paramedic or an emergency medical technician-intermediate during an emergency ambulance response by the City Fire Department and that is more advanced than the care usually provided by an emergency medical technician or an emergency medical technician-basic advanced:
(a) At the scene of:
1. An accident;
2. An act of terrorism, if the governor has declared a disaster emergency in response to the act of terrorism; or
3. An illness.
(b) During transport; or
(c) At a hospital.
(2) The term may include any of the following:
(a) Defibrillation;
(b) Endotracheal intubation;
(c) Parenteral injections of appropriate medications; and/or
(d) Electrocardiogram interpretation.
AMBULANCE. A conveyance on the following that is used or is intended to be used for the purpose of responding to emergency life-threatening situations and providing emergency transportation service:
(1) Land;
(2) Water; or
(3) Air.
BASIC LIFE SUPPORT (“BLS”).
(1) The following:
(a) Assessment of emergency patients;
(b) Administration of oxygen;
(c) Use of mechanical breathing devices;
(d) Application of anti-shock trousers;
(e) Performance of cardiopulmonary resuscitation;
(f) Application of dressings and bandage materials;
(g) Application of splinting and immobilization devices;
(h) Use of lifting and moving devices to ensure safe transport;
(i) Administration by an emergency medical technician or emergency medical technician- basic advanced of epinephrine through an auto- injector;
(j) For an emergency medical technician-basic advanced, the following:
1. Electrocardiogram inter- pretation;
2. Manual external defibrillation; and
3. Intravenous fluid therapy.
(k) Other procedures authorized by the State Emergency Medical Services Commission, including procedures contained in the revised national emergency medical technician basic training curriculum guide.
(2) Except as provided by division (1)(i) above and the training and certification standards established under I.C. 16-31-2-9(3); division (1)(j)3. above; and the training standards established under I.C. 16-31-2-9(4); the term does not include invasive medical care techniques or advanced life support.
EMERGENCY MEDICAL TECHNICIAN (“EMT”).
(1) An individual who is certified under I.C. 16-31 to provide basic life support at the scene of an accident, illness or during transport; or
(2) An individual who is certified under I.C. 16-31 who can perform at least one of but not all the procedures of a paramedic and who:
(a) Has completed a prescribed course in advanced life support;
(b) Has been certified by the Indiana emergency medical services commission;
(c) Is associated with a single supervising hospital; and
(d) Is affiliated with a provider organization.
EXPENDABLE MATERIAL. An item that is regularly used during the course of a response, including, but not limited to, latex gloves, hypodermic syringes, dispensed medications, bandages, hazardous spill absorption materials, agents used in cleanup operations, or any other item that must be replaced due to the rendering of services and/or response to an event by the City Fire Department.
FIRST RESPONDER. An individual who is:
(1) Certified under I.C. 16-31 and who meets the state emergency medical services commission’s standards for first responder certification; and
(2) The first individual to respond to an incident requiring emergency medical services.
HAZARDOUS MATERIAL SPILL. Unexpected, unintentional or unapproved discharge or other loss of oil or other substances that contain hazardous or otherwise objectionable substances that damage or threaten to damage the public health, safety and welfare, which, for the purposes of this subchapter only, are the result of a motor vehicle accident to which the City Fire Department is a responder.
INCIDENTAL COST. A subordinate and indirect cost that is incurred during the course of the response.
LEVEL I MOTOR VEHICLE RESPONSE SERVICE.
(1) Services that are rendered in response to a motor vehicle accident where the services shall consist of one or more of the following:
(a) The establishment of a safe environment at the scene of the accident;
(b) Any further investigation that may be required; and/or
(c) Basic life support or medical care to a patient who then refuses or does not require transportation to a hospital.
(2) Services provided that exceed standard LEVEL I SERVICES shall cause the response to be categorized at a higher level.
LEVEL II MOTOR VEHICLE RESPONSE SERVICE.
(1) Services that are rendered in response to a motor vehicle accident where the services shall consist of one or more of the following:
(a) Basic life support or advanced life support where the individual requires transportation to a hospital;
(b) The cleanup of spills;
(c) Protection from downed power lines; or
(d) Extinguishment of vehicle fires.
(2) LEVEL II may also include any services normally provided in Level I.
LEVEL III MOTOR VEHICLE RESPONSE SERVICE. Services that are rendered in response to a motor vehicle accident where the services shall consist of extrication of entrapped individuals. LEVEL III may also include any services normally provided in Level I or II.
LEVEL IV MOTOR VEHICLE RESPONSE SERVICE. Services that are rendered in response to a motor vehicle accident where the services shall consist of preparation of individuals who require air flight to trauma hospitals, and the establishment of a helicopter landing site. LEVEL IV may also include any services normally provided in Level I, II or III.
NON-RESIDENT. A person whose primary residence at the time of the service or response is outside the corporate boundaries of the city.
NON-TRANSPORT PATIENT.
(1) A patient with a minor medical condition who does not require transportation to a hospital or who, because of the non-severity of his or her medical condition, refuses transportation to a hospital.
(2) The final determination of the severity or non-severity of the medical condition is within the discretion of the treating officer.
PARAMEDIC. An individual who is:
(1) Affiliated with a certified paramedic organization;
(2) Employed by a sponsoring hospital approved by the Commission; or
(3) Employed by a supervising hospital with a contract for in-service education with a sponsoring hospital approved by the Commission; and who has completed a prescribed course in advanced life support and has been certified by the State Emergency Medical Services Commission.
PATIENT RUN OCCURRENCE. A response to a medical emergency call by a Fire Department ambulance or emergency response vehicle and the administration of basic or advanced life support skills upon, or medication given, to a patient.
REPLACEMENT COST. The direct cost to pay to replace any item of expendable material plus any shipping fees to replace that item.
RESIDENT. A person whose primary residence at the time of the service or response is within the corporate boundaries of the city.
RESPONSE or RESPOND. The deployment or mobilization of the City Fire Department emergency ambulance to emergency medical calls, motor vehicle accident calls, hazardous material spill calls or any calls of an emergency nature directed to the City Fire Department, to the scene of the accident, illness, event or occurrence.
RESPONSIBLE PARTY.
(1) The person being treated, attended to or rescued during a response by the City Fire Department emergency ambulance and personnel;
(2) The liable insurance company of the person who was treated, attended to or rescued during a response by the City Fire Department emergency ambulance and personnel;
(3) The individual directly or indirectly responsible for a person being treated, attended or rescued during a response by the City Fire Department emergency ambulance and personnel;
(4) The owner and/or the liable insurance company of the owner of the motor vehicle for which hazardous material spills or debris around the vehicle are cleaned up, fires are extinguished or the site of the accident around the vehicle is secured during a response by the City Fire Department emergency ambulance and personnel;
(5) The legal representative of a deceased party or the legal guardian of an incapacitated or minor party, which deceased party, incapacitated party or minor party was treated, attended to or rescued during a response by the City Fire Department emergency ambulance and personnel; or
(6) The person or entity responsible for conducting the special event for which the Fire Department provides medical standby safety services.
SERVICE. Any necessary action conducted by the City Fire Department during an emergency ambulance medical response including, but not limited to, medical treatment, medical services, basic life support, advanced life support, dispensing of medication, patient handling, cleanup of hazardous substances, evacuation, securing premises, extrication, extinguishment, transportation, equipment operation and utilization, and any and all other services required to assure public health and safety from known hazards which resulted from the accident, illness, event or occurrence to which the EMT was called to respond to.
SPECIAL EVENT. Any special community event, whether public or private, in the city in which the City Fire Department ambulance and personnel are on medical standby for the safety of guests, patrons, invitees, staff or other attendees of the event, in order to render care for any medical emergencies or incidents that may occur during the during the course of the event.
SPECIAL HANDLING. The administration of either physical or medical care upon an individual where:
(1) An unruly patient requires restraints;
(2) More than one unit is required to handle the patient; or
(3) More than one unit is needed for transportation assistance of the patient.
SUPERVISED WAITING TIME. A time delay in transferring the patient from the care of the City Fire Department emergency ambulance and personnel to a private transporting authority.
TRANSPORT PATIENT. A patient who, because of the severity of his or her medical condition, requires transportation to a hospital. The final determination of the severity or non-severity of the medical condition is within the discretion of the treating officer.
(Prior Code, § 80.04)